diff --git a/dev-python/pillow-heif/Manifest b/dev-python/pillow-heif/Manifest
index 23bec0d69d..192a27965b 100644
--- a/dev-python/pillow-heif/Manifest
+++ b/dev-python/pillow-heif/Manifest
@@ -1 +1,2 @@
 DIST pillow_heif-0.15.0.tar.gz 14896461 BLAKE2B 0a92a31542fbd49ef87fe81208f66d9b725ae0c5c4d4194fa737dcf9fbd76898b9132e81cc843da583898d406bbc451c3cd991e6141c6c327f86d4305432fe49 SHA512 1025a987148d1785da02c9ffc19b3ab0ec9e44cafb10ff3cb3231ecb7c3f22c968e5b3583ed0c386a7747333562bf86fdfe4caf21599bc1c2942da6a27363fbb
+DIST pillow_heif-0.18.0.tar.gz 16172675 BLAKE2B 16f52c6dc1d6b63606a9457ab2d2c4990c1b81524d14d4135f571dde7bd72b9dc8624919270ff76b8e52efbeb1420a96be8108015330648852cbc73bd8790cf6 SHA512 dfaccf4f86bcb26bd8b953c5e99835e9a422a7282b659c2bb999396af959c4b439d588b76ba1bcbf4b384580908a8ae6d7c17d8203ffac8b70ff2d4781bb2322
diff --git a/dev-python/pillow-heif/pillow-heif-0.18.0.ebuild b/dev-python/pillow-heif/pillow-heif-0.18.0.ebuild
new file mode 100644
index 0000000000..66db57dab3
--- /dev/null
+++ b/dev-python/pillow-heif/pillow-heif-0.18.0.ebuild
@@ -0,0 +1,41 @@
+# Copyright 2024 Gentoo Authors
+# Distributed under the terms of the GNU General Public License v2
+
+EAPI=8
+
+DISTUTILS_EXT=1
+DISTUTILS_USE_PEP517=setuptools
+PYTHON_COMPAT=( python3_{10..12} )
+inherit distutils-r1 pypi
+
+DESCRIPTION="Python interface for libheif library"
+HOMEPAGE="
+	https://github.com/bigcat88/pillow_heif
+	https://pypi.org/project/pillow-heif/
+"
+
+LICENSE="BSD"
+SLOT="0"
+KEYWORDS="~amd64"
+
+RDEPEND="
+	!test? (
+		dev-python/pillow[${PYTHON_USEDEP}]
+		>=media-libs/libheif-1.17.6:=
+	)
+	test? (
+		dev-python/pillow[jpeg,lcms,webp,zlib,${PYTHON_USEDEP}]
+		media-libs/libheif:=[x265]
+	)
+"
+BDEPEND="
+	test? (
+		dev-python/defusedxml[${PYTHON_USEDEP}]
+		dev-python/numpy[${PYTHON_USEDEP}]
+		media-libs/opencv[png,python,${PYTHON_USEDEP}]
+	)
+"
+
+PATCHES=( "${FILESDIR}/${PN}-0.15.0-respect-cflags.patch" )
+
+distutils_enable_tests pytest